Individual
BRIAN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1432 5TH AVE, NEW YORK, NY 10035-4521
(646) 289-7731
(646) 289-7791
Mailing address
1432 5TH AVE, NEW YORK, NY 10035-4521
(646) 289-7731
(646) 289-7791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
791206
NY
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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